Lake of Decatur, INC
NPI #1265863468 in Forsyth, Illinois
Provider Information
- NPI Number
- 1265863468
- Entity Type
- Organization
- Organization Name
- Lake of Decatur, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 12, 2013
- Last Updated
- Feb 20, 2020
Practice Location
Authorized Official
- Name
- DALE COLEE
- Title
- OWNER
- Phone
- (217) 429-5165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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